nursing on the move - goinginternational.eu€¦kris van de poel university of antwerp wien • june...
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Nursing on the MoveCommunication, integration, interaction
in healthcare
Kris Van de Poel
University of Antwerp
Wien • June 2017
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Health Ideas
Concerns
Expectations
Frame of reference
Worries, fears, implications, effects
Involvement and care
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Care
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Interactions
• ComCommunisCommunicare
• VerbalNon-verbal
• Language-in-useLanguage-in-actionInter-action
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Communication
• Quality of communication influencesquality of patient care and health outcomes
Hewett et al. 2009, Watson et al. 2012, Stewart 1995
• As part of a treatmentWith patients, colleagues, relatives Not intuitive, professional, interdisciplinary knowledge What is language, what is communication?
• Medical professionals are on the move between languages cultures medical contexts approaches
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Healthcare communication
• Communication can go wrong
Why?
▪ Delicate Dr-P relationship
▪ Fear for legal consequences of medical errors
▪ Cost-effectiveness
▪ Career
▪ …
▪ Communication in an L2 …
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Communication tensions
• Just under half of Europeans (46%) are able to speak any foreign language well enough to hold a conversation.
Special Eurobarometer 386, 2012
• As a speaker of English you need approx 600 hours (24 weeks) to learn a language related to English to gain Professional working proficiency [upper intermediate; 3/5].
Foreign Service Institute
• With growing foreign economies and more global communication than ever before, languages are becoming a crucial skill for professionals.
Special Eurobarometer 386, 2012
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Why? Facts and figures
What makes language challenging for nurses?
Nurses are:
• Rather confident in their first-language
• Significantly less confident in their second-language (L2)
• Across a range of culture-related issues
• Socio-psychological issues are more challenging in L2
Solutions:
Language-specific skills training
Address communication about culturally-grounded beliefs:e.g., health and religious
(Gasiorek & Van de Poel, i.p. 300 nurses)
What makes language learning challenging?
Lifelong language learning
Made-to-measure language learner/learning toolbox
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Motivational: This is what I need
Experiental: I cannot speak without grammar
Psychological: I don’t have the gift
Social: We are all in the same boat
• Effective: goal-orientedspecific and tailored purposes
• Efficient: just-in-timeno time to waste
Needs translated
NoM components:
• Nurses’ different roles in professional contexts
• Communicative challenges: face threat; cultural background, …
• Language learning needs and profile
• Communicative (re)action inventory
• International literature
• Local context(s)
• Language support guides:the use of a second/foreign language is just one of many issues in cross-cultural communication
Calgary-Cambridge guides; Silverman, Kurtz, & Draper, 2005
• (Preventive) treatment to address ensuing communication problems?
Van de Poel & Gasiorek 2012:4
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Communication breakdown